CABG and Plastic Repair of Left Ventricular Aneurysm in the Best Hospitals in the World
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Department of Cardiothoracic Surgery
According to the Focus magazine, the Department of Cardiothoracic Surgery ranks among the top German medical facilities specializing in the surgical treatment of diseases of the cardiovascular system and lung cancer! The department offers the full range of surgical services for the treatment of diseases of the cardiovascular system, respiratory tract, including heart and lung transplantation, artificial heart implantation. The therapeutic options include aortic surgery, coronary artery bypass grafting, transplantation surgery, surgical treatment of heart rhythm disorders (arrhythmias), minimally invasive surgery, surgical treatment of the heart valves, including reconstructive interventions. All operations are performed using state-of-the-art technology and in accordance with the current recommendations of professional societies.
Department of Cardiac Surgery
The Department of Cardiac Surgery provides a full range of surgical treatment in its area of specialization. Special emphasis is placed on heart valve repair and replacement surgery, coronary artery bypass grafting, thoracic aortic surgery, adult congenital and acquired heart disease surgery, pacemaker and defibrillator implantation, and artificial heart implantation for severe heart failure. Many heart operations are performed using minimally invasive techniques, which has a positive effect on the healing of the surgical wound. Minimally invasive cardiac procedures also reduce surgical risks and contribute to a rapid recovery of the patient in the postoperative period. Surgical treatment of cardiac pathologies is performed in advanced operating rooms equipped with the latest technology. The cardiac surgeons of the department successfully perform routine and complex surgical procedures, saving the lives of thousands of patients. The specialists work in accordance with current clinical protocols and follow the recommendations of the German Society for Thoracic and Cardiovascular Surgery (DGTHG).
Department of Cardiothoracic Surgery and Vascular Surgery
The Department of Cardiothoracic Surgery and Vascular Surgery provides effective surgical treatment for diseases of the heart, respiratory system, and blood vessels. The team of cardiac surgeons operates on patients with heart valve pathologies, coronary heart disease, heart failure, and heart rhythm disturbances. In the field of thoracic surgery, the key focus is on the surgical removal of lung tumors and lung metastases. The specialists in this area also perform surgery to repair chest wall deformities. In the field of vascular surgery, interventions for abdominal and thoracic aortic aneurysms are most often performed here. The department's vascular surgeons are also exceptionally competent in the treatment of peripheral occlusive arterial disease. A great advantage for the department's patients is that almost all surgical interventions are performed using minimally invasive techniques, so there is no need for a long postoperative recovery. The department's operating rooms are equipped with state-of-the-art technology. This allows for effective and safe treatment. The priority is always personalized medical care for patients.
A left ventricular aneurysm may develop due to coronary heart disease or after a heart attack. This is a protrusion of the heart wall, which is associated with cicatricial changes in this area. There is no more muscle tissue in this area, only connective tissue that cannot contract. Aneurysms can be successfully treated in modern Cardiovascular Surgery Centers. In cardiology and vascular surgery, aneurysm plastic surgery is increasingly performed simultaneously with coronary artery bypass grafting (CABG).
Content
- Who may need surgery treatment for a left ventricular aneurysm?
- How are CABG and left ventricular aneurysm repair performed?
- Where are CABG and plastic repair of left ventricular aneurysm performed?
Who may need surgery treatment for a left ventricular aneurysm?
A left ventricular aneurysm can be eliminated with surgery or conservative therapy. Medicines cannot eliminate the aneurysm because they only reduce symptoms. Therefore, in severe cases, patients require surgery treatment. Indications for a surgical intervention are the following:
- left ventricular dilatation;
- ejection fraction below 20%;
- about 35% of the area of the ventricle contracts incorrectly or does not contract at all;
- detected arrhythmia with symptoms of angina pectoris or heart failure;
- signs of myocardial blood supply deficiency during stress tests.
In cardiac surgery of aneurysm, simultaneous operations are often performed to eliminate several diseases, for example, the treatment of coronary heart disease and acquired heart defects. In the case of ventricular CABG with an aneurysm plastic repair, doctors treat one heart disease: they eliminate the consequences of a heart attack, eliminate the symptoms of myocardial ischemia, and prevent recurrent heart attacks.
How are CABG and left ventricular aneurysm repair performed?
CABG and plastic repair of left ventricular aneurysm are performed during the same surgical procedure. The operation can be performed with or without a heart-lung machine, depending on the technique used. Operations are most often performed by connecting the patient to a heart-lung machine. Despite this, the heart is beating. It is not stopped because a doctor needs to understand which parts of the myocardium are contracting and which are not to remove scar tissue and preserve normal muscle.
Different techniques can be used to repair left ventricular aneurysm:
- aneurysm plastic repair with Jatene and Dor techniques, which are the main operations used in developed countries;
- linear plastic surgery in the Mickleborough modification;
- the SAVE procedure, also known as the Pacopexy technique.
In any case, the task of the physicians of the Department of Cardiosurgery is to remove the scar tissue as much as possible, preserve normal muscle tissue, and close the defect with a patch. At the same time, it is important that the shape of the left ventricle be restored, as close as possible to the normal ellipsoid.
During the same operation as for the treatment of left ventricular aneurysm, CABG is performed to restore blood supply to the myocardium. Doctors take the patient's thoracic artery and form new blood vessels from it that carry blood from the aorta to the coronary arteries, but the blood flows into them beyond the narrowing.
As a result of the operation, the function of the heart improves, its rhythm normalizes, and the ejection fraction increases. The patients feel better. In most cases, they no longer suffer from angina attacks or manifestations for heart failure. The operation also helps to increase life expectancy, as it reduces the risk of death from ventricular arrhythmia, progression of heart failure, and recurrent infarction.
Where are CABG and plastic repair of left ventricular aneurysm performed?
You can get left ventricular treatment in one of the countries with a high level of medicine. You are welcome to use the Booking Health website. On our website, you can find the best Cardiac Surgery Centers for treatment abroad and see the current cost of treatment. You can compare the cost of treatment in different Departments of Cardiovascular Surgery and choose the option at the best price.
When you make your appointment for CABG and plastic repair of left ventricular aneurysm through the Booking Health service, the cost of treatment will be lower for you. Prices for services in the field of cardiology will be reduced due to the absence of additional taxes for foreign patients.
If you make an appointment for your treatment abroad through the Booking Health website, you can expect that the initial cost of treatment will not increase after the start of your medical care program. The price will remain the same even if additional medical services are required, as you will receive insurance to cover unexpected expenses.
The Booking Health specialists will arrange your treatment abroad at one of the best Cardiology Centers. We will contact the hospital administration and schedule an appointment for you on your preferred dates, translate medical records, etc. The Booking Health specialists will meet you at the airport and take you to the hospital by car. After the completion of your medical care program, we will take care of organizing a return transfer.
Authors:
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
Sources:
ECR - European Cardiology Review
